AGT Laboratory Directory Information Survey

Inclusion in the AGT Laboratory Directory has potential benefits not only for the members of AGT, but also for your laboratory with filling position openings.

AGT recognizes that filling out the survey will require setting aside some time from your busy schedule. Thank you for taking time to respond to this very important survey.

If you have questions about or need assistance with this survey, please contact AGT at (913) 895-4605 or agt-info@kellencompany.com.

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* 1. Are you aware that this AGT directory by technologists for technologists is a primary means of technologists finding laboratories when they are seeking employment?

Yes

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* 2. What is the name of your company/laboratory?

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* 3. What is the address of your laboratory?

Address 1

Address 2

City

State

Zip Code

General Email Address

Web Site

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* 4. What is the name and contact of the primary lab director?

Name

Phone

Fax

E-mail

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* 5. What is the name and contact of the primary lab supervisor?

Name

Phone

Fax

E-mail

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* 6. What is the name and contact of the primary lab manager?

Name

Phone

Fax

E-mail

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* 7. Please indicate the type of lab.

Cytogenetics

Molecular Genetics

Biochemical

Other (please specify)

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* 8. Please indicate whether you would like to have your lab listed in the AGT laboratory directory.

Yes